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City of Santa Ana 20 civic center Plaza (M-'19), santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspectron Requests (714\ 667-2738 lnspector Section (714) 647-5853 <br />Electrical Permit#:2O168839 <br />Pin #: 14lJ67 <br />\\ <br />Project Address: 3027 W Brook St <br />Assessor'sParcel: 109-752-11 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 4025 <br />Address Range; <br />Historic: No <br />Suite Rangel <br />Zoning: Rl <br />Owner <br />Address <br />Contractor <br />Addressl <br />Phone <br />Tenant Name <br />Guadalupe v Perez <br />3027 W Brook St <br />Santa Ana, CA 92704 <br />(714) 863-5669 <br />Harlev Remodeling <br />17639 Sherman Way, #A <br />Van Nuys, CA 91406 <br />(818) 2r9-5390 <br />0'1 1 't6002 <br />01 1 16002 <br />01 1 16002 <br />01 '1 16002 <br />011 16002 <br />51603 <br />5'1603 <br />51603 <br />51600 <br />51603 <br />Amount <br />014 <br />24.79 <br />36.72 <br />22.O8 <br />55 04 <br />Fee <br />$33.88 <br />$7 4.37 <br />$36.72 <br />$22.08 <br />$55.04 <br />Fee Type <br />Addn/Res <br />Dedicaled Crrcuit <br />Low Voltage/Res <br />General Plan Update <br />lssuance <br />Notes Addition <br />Qty <br />242 00 <br />3.00 <br />'1.00 <br />1.00 <br />1.00 <br />State Lic #: 1010138 <br />Lic Type: B, C46 <br />Bus. Lic #: 373037 <br />Workers' Compensation lnsurance: <br />Carrier: Employers Comp lns Group <br />Policy #: Etc26906rr000 <br />Expires: 08r'1012019 <br />Building Use: <br />Job Type. <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code <br />R.3, U <br />VB <br />cEc 2015 <br />Single Famaly Dwelling <br />Addition <br />Addition <br />Planning Conditions: All materials to match existing <br />Date <br />Date <br />DateAmsden, Julie <br />Buildins Permit # 101 99838 <br />Evory permll issued shall become invalid unless the work on the slo <br />euthonzed by such pemtt ts commencid wlhin360 days after ils <br />rssuance. ot I tha wo* authonzed on lhe stle by such petml $ suspended <br />or abanalonecl lot a penod or,360 days ahor lho tmo the wo* ts <br />06/06/2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc Receipt: <br />Total <br />$222.O9 <br />$0 00 <br />$222.09 <br />lnspector MtD# 2019-1 50258 <br />011 16002 5't600 <br />01 1 16002 51603 <br />$22 08 <br />$200.01 <br />Lot 120 <br />Phone: <br />( <br />Planning Approval By. <br />Plan Checked By. <br />Permit lssued By <br />Subject to Field: <br />Fee Total <br />Paid to Dale: <br />Balance Due: